The learning curve in post-operative hearing results in vestibular schwannoma surgery

Jin Kanzaki, Yasuhiro Inoue, Kaoru Ogawa

研究成果: Article

11 引用 (Scopus)

抄録

Purpose: We chronologically investigated whether the hearing preservation (HP) rate improved or not in vestibular schwannoma (VS) surgery. Subjects and methods: HP surgery has been attempted in 127 VS patients with pre-operative class A and B hearing from 1976 to 1999. The HP rate was chronologically compared with hearing level and tumor size. Results: The preservation rate of pre-operative class A hearing which was preserved post-operatively as class A has recently been increasing especially in patients with an intracanalicular (IC) tumor. This rate was improved to 67% from 1995, although this was 33% from 1989 to 1994. However, the preservation rate of pre-operative class B in patients with an IC tumor and that of pre-operative class A hearing which was preserved as class A in patients with a larger tumor extending into the posterior fossa, have not improved over the last 10 years. Conclusion: These results indicate that the improvement of the HP rate is mainly due to the increased number of patients with an IC tumor with class A pre-operative hearing. In patients with a tumor of 4-20 mm in size, especially in those showing pre-operative class B hearing, there may be histologically some limitations such as gliosis in the cochlear nerve in the preservation rate of good quality (class A or B) of hearing.

元の言語English
ページ(範囲)209-213
ページ数5
ジャーナルAuris Nasus Larynx
28
発行部数3
DOI
出版物ステータスPublished - 2001

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Learning Curve
Acoustic Neuroma
Hearing
Neoplasms
Cochlear Nerve
Gliosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Surgery

これを引用

The learning curve in post-operative hearing results in vestibular schwannoma surgery. / Kanzaki, Jin; Inoue, Yasuhiro; Ogawa, Kaoru.

:: Auris Nasus Larynx, 巻 28, 番号 3, 2001, p. 209-213.

研究成果: Article

Kanzaki, Jin ; Inoue, Yasuhiro ; Ogawa, Kaoru. / The learning curve in post-operative hearing results in vestibular schwannoma surgery. :: Auris Nasus Larynx. 2001 ; 巻 28, 番号 3. pp. 209-213.
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